MEDICARE: EUGENE FRANCIS SCHADLER JR. LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	34003229A	IN
2	1041C0700X	Clinical Social Worker	KY-852	KY

General Provider Information

NPI Number	:	1558399428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENE FRANCIS SCHADLER JR. LCSW

Provider Business Mailing Address
First Line	:	6221 PHYSICIANS CT
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-4031
Country	:	US
Telephone Number	:	812-491-7739
Fax Number	:	812-491-3242

Provider Business Practice Location Address
First Line	:	6221 PHYSICIANS CT
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-4031
Country	:	US
Telephone Number	:	812-491-7739
Fax Number	:	812-491-3242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	07/08/2007

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